An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office.

Elsbeth Kalenderian; Muhammad F. Walji; Anamaria Tavares; Rachel Ramoni

Study

An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office.

August 14, 2013

Kalenderian E, Walji MF, Tavares A, et al. J Am Dent Assoc. 2013;144(7):808-814.

View more articles from the same authors.

Little is currently known about the types of safety issues in dental care. This study reports on the development of a novel trigger tool for identifying preventable errors in dentistry.

PubMed citation

Available at

Related Resources From the Same Author(s)

Open wide: looking into the safety culture of dental school clinics.

July 9, 2014

From good to better: toward a patient safety initiative in dentistry.

September 19, 2012

Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them.

May 23, 2018

Burnout, engagement, and dental errors among U.S. dentists.

December 22, 2021

Classifying adverse events in the dental office.

September 6, 2017

Patients' experiences of dental diagnostic failures: a qualitative study using social media.

March 13, 2024

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis.

November 1, 2023

Are dental patients concerned about safety? An exploratory study.

October 28, 2020

Analysis of clinical decision support system malfunctions: a case series and survey.

April 13, 2016

Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).

April 29, 2020

Finding dental harm to patients through electronic health record-based triggers.

February 19, 2020

Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations.

July 23, 2014

Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence.

August 9, 2023

Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.

November 1, 2017

Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review.

June 3, 2015

The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study.

January 26, 2022

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

September 7, 2011

Incidence and predictors of opioid prescription at discharge after traumatic injury.

July 12, 2017

ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review.

July 14, 2021

Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives.

January 31, 2024

Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety.

December 6, 2023

Analysis of patient-physician concordance in the understanding of chemotherapy treatment plans among patients with cancer.

March 25, 2020

Potential drug interactions and duplicate prescriptions among cancer patients.

May 2, 2007

ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems.

August 8, 2018

Patient identification and tube labelling—a call for harmonisation.

August 10, 2016

Emerging infections: the contact precautions controversy.

March 16, 2011

Safety interventions on the labor and delivery unit.

May 17, 2017

Hospital patients' reports of medical errors and undesirable events in their health care.

June 27, 2012

From tokenism to empowerment: progressing patient and public involvement in healthcare improvement.

April 13, 2016

Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards.

December 6, 2017

Tools for primary care patient safety: a narrative review.

November 26, 2014

When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine.

December 6, 2023

The burden of opioid-related mortality in the United States.

July 18, 2018

One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.

November 15, 2017

Do clinicians know which of their patients have central venous catheters?: A multicenter observational study.

November 5, 2014

Patients' and health care professionals' attitudes towards the PINK patient safety video.

June 29, 2011

Impact of medical education on patient safety: finding the signal through the noise.

February 8, 2023

Economic evaluation of pharmacist-led medication reviews in residential aged care facilities.

December 13, 2017

Advancing nursing home quality through quality improvement itself.

January 20, 2010

Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics.

November 30, 2016

Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.

December 9, 2015

A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.

July 18, 2012

Medical error, incident investigation and the second victim: doing better but feeling worse?

April 4, 2012

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.

April 1, 2009

Eight human factors and ergonomics principles for healthcare artificial intelligence.

November 2, 2022

A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital.

July 14, 2021

Assuring safe patient care in a level III NICU in anticipation of hospital closure.

June 10, 2020

Using a computerized sign-out system to improve physician–nurse communication.

January 18, 2006

Surgical glove perforation and the risk of surgical site infection.

June 24, 2009

Developing a conceptual framework for patient safety culture in emergency department: a review of the literature.

October 3, 2018

Potentially unintended discontinuation of long-term medication use after elective surgical procedures.

January 3, 2007

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.

March 20, 2019

Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes.

April 24, 2013

Interruptions and medication administration in critical care.

July 29, 2015

Patient involvement in patient safety: the health-care professional's perspective.

November 7, 2012

The timing of surgical antimicrobial prophylaxis.

July 2, 2008

The effect of an organizational network for patient safety on safety event reporting.

August 28, 2013

Changing the "working while sick" culture.

February 17, 2016

Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements.

September 4, 2013

What attributes of patients affect their involvement in safety? A key opinion leaders' perspective.

September 18, 2013

The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference.

July 19, 2017

Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review.

March 29, 2017

Reducing medication errors in critical care: a multimodal approach.

October 1, 2014

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.

October 28, 2020

Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study.

December 8, 2008

Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.

October 20, 2021

To do no harm - and the most good - with AI in health care.

March 13, 2024

Changes in prognosis after the first postoperative complication.

April 3, 2005

Perceptions of effective and ineffective nurse–physician communication in hospitals.

August 25, 2010

Physicians-in-training attitudes on patient safety: 2003 to 2008.

September 7, 2011

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.

April 17, 2013

An examination of opportunities for the active patient in improving patient safety.

February 22, 2012

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Patient involvement in patient safety: what factors influence patient participation and engagement?

August 22, 2007

Communication patterns in a UK emergency department.

October 10, 2007

Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates.

July 13, 2016

Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare.

April 1, 2015

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans.

July 19, 2023

Overdose risk in young children of women prescribed opioids.

March 15, 2017

Floating to intensive care units: nurses' messages for instant action to promote patient safety.

May 3, 2023

Alarm fatigue: use of an evidence-based alarm management strategy.

September 14, 2016

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

October 24, 2012

Surgical adverse events: a systematic review.

June 26, 2013

A patient safety approach to setting pass/fail standards for basic procedural skills checklists.

November 5, 2014

Predictors of healthcare professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey study.

October 15, 2014

Improving medication error reporting in hospice care.

May 27, 2009

Safety in pediatric hospice and palliative care: a qualitative study.

September 23, 2020

Cognitive biases in internal medicine: a scoping review.

June 14, 2023

Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety.

May 17, 2023

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study.

February 17, 2021

Potential for drug interactions in hospitalized cancer patients.

September 14, 2005

Arrival by ambulance explains variation in mortality by time of admission: retrospective study of admissions to hospital following emergency department attendance in England.

December 21, 2016

Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data.

December 7, 2016

Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.

February 1, 2012

The medical student as a patient: attitudes towards involvement in the quality and safety of health care.

October 30, 2013

Fundamentals of diagnostic error in imaging.

October 10, 2018

Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study.

May 25, 2022

Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA.

September 21, 2022

A scoping review of the hidden curriculum in pharmacy education.

April 19, 2023

Economic analysis of the prevalence and clinical and economic burden of medication error in England.

July 1, 2020

Related Resources

Patients' experiences of dental diagnostic failures: a qualitative study using social media.

March 13, 2024

Certified Professional in Patient Safety Review Course.

June 5, 2024 - June 6, 2024

Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study.

December 13, 2023

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis.

November 1, 2023

Complications and Errors in Periodontal and Implant Therapy.

September 13, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services.

May 3, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial.

April 19, 2023

Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety.

March 15, 2023

Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.

August 3, 2022

High-reliability organisation principles implemented in dentistry.

July 27, 2022

A widow’s mission to change NC dental sedation rules.

March 23, 2022

Patient Safety Primers

COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care

February 23, 2022

Burnout, engagement, and dental errors among U.S. dentists.

December 22, 2021

Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.

October 6, 2021

Opioid prescribing to US children and young adults in 2019.

September 1, 2021

Developing a patient safety culture in primary dental care.

June 16, 2021

Wrong Site Surgery–Wrong Tooth Extraction.

June 9, 2021

The impact of critical incidents on nurses and midwives: a systematic review.

February 10, 2021

System issues leading to "found-on-floor" incidents: a multi-incident analysis.

January 27, 2021

Analysis of patient safety risk management call data during the COVID‐19 pandemic.

January 27, 2021

Learning from errors with the new COVID-19 vaccines.

January 27, 2021

The COVID-19 pandemic and dentistry: parts 1 and 2.

January 13, 2021

Are dental patients concerned about safety? An exploratory study.

October 28, 2020

Children and the opioid epidemic: age-stratified exposures and harms.

October 21, 2020

Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data.

October 7, 2020

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command.

October 7, 2020

Data collection for adverse events reporting by US dental schools.

September 30, 2020

See More About The Topic

Ambulatory Clinic or Office

Allied Health Professionals

Risk Managers

Quality and Safety Professionals

Dentistry

An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site